Lung cancer in the octogenarian

Gerontology
K KurishimaK Sekizawa

Abstract

Older patients with lung cancer tend to have significant coexisting diseases and less aggressive treatment is often advisable. To investigate the clinicopathological features of lung cancer in patients aged 80 years and over. The medical records of 966 patients with lung cancer between 1976 and 1999 were reviewed retrospectively. There were 56 (5.8%) patients 80 years old or over. Thirty-nine (70%) were male, and 22 (39%) patients had poor performance status (2-4). Some of the patients had a medical history of cardiovascular disease (n = 23; 41%), cerebrovascular disease (n = 5; 9%), diabetes mellitus (n = 11; 20%), or malignant disease (n = 8; 14%). Twenty-one (35%) patients were diagnosed as having surgically resectable disease and 20 patients underwent radiotherapy, but 25 patients only received supportive care because of concomitant illnesses. Only 9 and 2 patients, respectively, had chemotherapy and surgery. There was no statistical difference in the survival rate of the two groups of patients receiving radiotherapy or supportive care. Adequate palliative care to provide prolonged quality survival is an appropriate primary goal of therapy for lung cancer in the octogenarian until less invasive treatments are developed.

Citations

Sep 25, 2002·Critical Reviews in Oncology/hematology·Riccardo A Audisio, Andrew P Zbar
Jul 30, 2003·Thorax·R BootonN Thatcher
Mar 25, 2005·AJR. American Journal of Roentgenology·Nicolas AideJean-Noël Talbot
Nov 3, 2007·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Geoffrey R OxnardLecia V Sequist
Nov 26, 2008·Seminars in Oncology·Nilesh Vora, Karen L Reckamp
Jun 21, 2017·Lung·Karlijn J G SchulkesMarije E Hamaker

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